Individual
MISS KATINA MARIE SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1707 FOULK ROAD, WILMINGTON, DE 19803
(302) 856-7462
(302) 856-7463
Mailing address
2 W 10TH ST, MARCUS HOOK, PA 19061-4513
(610) 859-8850
(610) 859-7876
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J20000544
DE
Other
Enumeration date
06/27/2007
Last updated
09/29/2009
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